How to treat asthenozoospermia well

Patient's question:

Hello doctor, I would like to consult about how to treat asthenozoospermia well. I was diagnosed with asthenozoospermia a year after getting married. Later, I also went through a series of tonifying the kidneys medications for regulation, but the asthenozoospermia has not been cured for a long time. This issue is very bothering me, so I want to ask how to treat asthenozoospermia well.

Doctor's answer:

Hello, there are many causes of asthenozoospermia:
1. Disorders of sperm production. If a man's sperm production is impaired, it can also lead to male asthenozoospermia. For example, varicocele can cause poor local blood circulation, increased temperature, and tissue hypoxia, resulting in reduced sperm count, decreased motility, and an increase in abnormal sperm, leading to infertility.
2. Infection is also one of the causes of asthenozoospermia. If a man suffers from infections such as prostatitis or seminal vesiculitis, it can lead to a decline in sperm quality, resulting in male asthenozoospermia.
3. Long-term abstinence is one of the causes of male asthenozoospermia. If a man abstains from ejaculation for a long time, it can lead to high sperm density, an increase in dead sperm, and poor sperm motility, causing asthenozoospermia. This is normal, so it is recommended to abstain for one week before a semen analysis.
4. Asthenozoospermia may also be caused by abnormal semen liquefaction, such as low semen volume or incomplete liquefaction.
5. The presence of antisperm antibodies can also lead to male asthenozoospermia. Antisperm antibodies bind to the tail of sperm, impairing their motility, reducing their ability to move, and weakening their penetration ability.
Advice: Asthenozoospermia is a common cause of male infertility. It refers to low sperm motility, lacking enough energy to enter the uterine cavity and fertilize the egg. Treatment must first identify the underlying cause. It is recommended that you seek a detailed examination at a regular specialized hospital as soon as possible to determine the cause and receive targeted treatment.

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